三级康复训练对椎动脉型颈椎病的疗效观察

The effects of three-stage rehabilitation training on cervical spondylosis of vertebra artery

目的观察三级康复训练对椎动脉型颈椎病的疗效。方法椎动脉型颈椎病83例,随机分为对照组和观察组。对照组40例,采用药物和颈椎牵引治疗,观察组43例,除药物和颈椎牵引治疗外再进行三级康复训练。治疗前、治疗后均行颈颅多普勒超声(TCD)检查,观察两组患者收缩期血流速度的变化。结果1)两组治疗后总有效率:观察组为95.3%和对照组为75.0%,其中观察组治愈率为65.1%,对照组为25.0%,两组间总有效率及治愈率差异均有统计学意义(P<0.05)。2)治疗后两组椎基底动脉(VBA)血流速度均有改善(P<0.05),与对照组比较,观察组VBA血流速度的改善更为明显(P<0.05)。结论三级康复训练对椎动脉型颈椎病的疗效较佳。

Objective To investigate the value of three--stage rehabilitation training on cervical spondylosis of vertebra artery. Methods 83 patients diagnosed with cervical spondylosis of vertebra artery were divided into observation group（43 cases） and control group（40cases）. The observation group and control group were all treated with cervical traction, while the observation group got additional three-stage rehabilitation training. The effect of the intervention on both groups on blood velocity was analyzed. Results The total effective rates in the 2 groups were 95.4% and 75.6% respectively. The clinical healing rate was 61.4% in the observation group and 25.3% in the control group. There were statistical significances in the total effective rate and clinical healing rate between two groups （P 〈 0.05）. The blood flow in the velocity of both groups was increased significantly after treatment （P 〈 0.05）, and the velocity of blood flow in vertebra artery of the observation group was increased to a significantly greater extent compared with the control group （P 〈 0.05）. Conclusions Standardized three-stage rehabilitation training is effective in the treatment of the cervical spondylosis of vertebra artery.